Osteoporosis management-current and future perspectives - A systemic review.
Rajamohanan Jalaja Anish1, Aswathy Nair1
1Department of Biochemistry, University of Kerala, Kariyavattom Campus, Trivandrum, 695581, India.
Journal of Orthopaedics
|March 18, 2024
Summary
This review covers osteoporosis management, including lifestyle changes, medications, and advanced AI techniques to reduce fracture risk and improve quality of life in older adults.
Area of Science:
- Geriatric Medicine
- Metabolic Bone Disease
Background:
- Osteoporosis is a geriatric metabolic condition characterized by low bone mineral density (BMD) and compromised bone strength.
- It significantly increases fracture risk and negatively impacts quality of life, particularly in individuals over 55 (women) and 65 (men).
Purpose of the Study:
- To review current and advanced management strategies for osteoporosis.
- To explore methods for reducing osteoporosis complications and fracture risk.
Main Methods:
- Systematic review of scientific literature from 2008-2023.
- Inclusion and exclusion criteria applied to online scientific search engine data.
Main Results:
- Biochemical markers (BALP, collagen, osteocalcin, cathepsin-K) and DEXA scans aid in assessing osteoporotic status and BMD.
- Pharmacological approaches involve anabolic and anti-osteoporotic agents to modulate bone formation, resorption, and remodeling, with combination therapy potentially mitigating side effects.
Conclusions:
- Effective osteoporosis management encompasses lifestyle modifications (e.g., exercise), pharmaceutical interventions, and novel therapeutic avenues.
- Emerging technologies like Artificial Intelligence (AI) and machine learning show promise in further reducing osteoporosis complications and fracture risk.
Related Concept Videos
Osteoclasts in Bone Remodeling
2.9K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
2.9K
Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K
Role of Vitamins in Maintaining Bone Health
3.3K
The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
3.3K
Bone Remodeling
38.3K
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
38.3K
Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
COPD: Management Using Bronchodilators and Corticosteroids
205
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
205


